Patient outcomes after total hip arthroplasty in extreme elderly patients older than 80 years

Austin, Daniel C.; Torchia, Michael T.; Moschetti, Wayne E.; Jevsevar, David S.; Keeney, Benjamin J.

doi:10.1177/1120700019837943

Cited by 11 publications

(11 citation statements)

References 31 publications

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“…The achieved scores [PCS 43.5 (18.5-56.6), MCS 41.8 (30.8-52.3)] are comparable to those reported in the literature for the general population of the equivalent age. [22].…”

Section: Discussionmentioning

confidence: 99%

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

Zimmerer

Navas

Kinkel

et al. 2021

Arch Orthop Trauma Surg

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Introduction This retrospective study aimed to compare activity levels before and at mid-term follow-up after primary cementless total hip arthroplasty (THA) in patients older than 75 years. Materials and methods A cohort of 79 patients with a mean age at surgery of 78 years (range 76–84 years) was evaluated 6.3 years (range 4–8 years) after cementless THA due to osteoarthritis and was followed up with a questionnaire to determine their activity level. Pre- and post-operative recreational activities were assessed at routine follow-up using the University of California, Los Angeles activity score, and the Schulthess Clinic sports and activity questionnaire. Post-operative health-related quality of life was measured using Veterans Rand 12-item survey (VR-12). Results Six years after THA, 72% of preoperatively active patients had returned to activity. Comparing activity preoperatively (before the onset of symptoms) and 6 years after THA, the number of disciplines and session length has decreased significantly. A significant decline in high-impact activities was observed, while participation in low-impact activities significantly increased. Conclusion The majority of patients maintained a recreational activity level in the mid-term after primary cementless THA. However, a change in disciplines toward low-impact activities was observed.

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“…The achieved scores [PCS 43.5 (18.5-56.6), MCS 41.8 (30.8-52.3)] are comparable to those reported in the literature for the general population of the equivalent age. [22].…”

Section: Discussionmentioning

confidence: 99%

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

Zimmerer

Navas

Kinkel

et al. 2021

Arch Orthop Trauma Surg

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show abstract

“…Recent guidelines and studies have recommended early surgical treatment within 24–48 hours for patients with hip fracture to relieve pain and to reduce surgery-related morbidity and mortality rates ( 19 , 20 ). Elderly patients were found to have longer hospital stays and higher risks of morbidity and mortality owing to opioid-related and other complications after total joint arthroplasty ( 21 , 22 ). Patients in both the groups in our study had similar mean time to surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Suprainguinal Fascia Iliaca Compartment Block and Patient-Controlled Analgesia for Major Hip Surgeries in Elderly Patients

Azizoğlu

Temel

Atıcı

2020

Turk J Anaesthesiol Reanim

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Objective Fascia iliaca compartment block is an alternative analgesic technique for hip surgeries. In the new suprainguinal technique, the ‘bowtie’ sign is detected with an ultrasound probe, and local anaesthetic is injected into the fascial plane with in-plane approach. In this retrospective study, we compared the postoperative analgesic efficacy of suprainguinal fascia iliaca compartment block (S-FICB) and patient-controlled analgesia (PCA) after major hip surgery in elderly patients. Methods We retrospectively recorded visual analogue scale (VAS) scores, morphine consumptions and opioid side effects who underwent either a S-FICB (n=67) or PCA (n=61). In the S-FICB group, 25–40 mL of 0.25% bupivacaine was administered with a single-shot S-FICB technique after induction of anaesthesia. VAS scores during resting (VAS-S) and movement (VAS-D); morphine consumption at 0, 6, 12, 24 and 48 hours; total morphine consumption; and opioid-related complications were recorded. Results Morphine consumptions in each measurement period and in total were significantly lower in the S-FICB group (694.03±2,007.47 μg vs. 13,368.85±4,834.68 μg; p<0.05). The total number of opioid-related complications were also significantly lower in the S-FICB group (17/67 vs. 48/62; p<0.05). More than half of the patients (38/67, 56%) did not need morphine administration in the S-FICB group. VAS-S during the first 6 hours and VAS-D up to 24 hours postoperatively were significantly lower in the S-FICB group (p<0.05). Conclusion In our study, S-FICB provided better analgesia than the PCA technique after hip surgery in elderly patients. Moreover, S-FICB reduced opioid consumption and opioid-related complications in the first 24 hours postoperatively.

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“…However, more recent studies have begun to use PROMIS instruments in assessment of outcomes related to surgical intervention for different hip pathologies. Clinical studies on outcomes after THA have used PROMIS scores for assessment of both functional outcomes and pain improvement postoperatively . PROMIS instruments have been used in clinical trials assessing baseline disability and functional performance in patients with femoroacetabular impingement (FAI) .…”

Section: Patient‐reported Outcomes Measurement Information Systemmentioning

confidence: 99%

“…Further evaluation of the psychometric properties of PROMIS instruments, specifically for hip pathology, would be beneficial; however, PROMIS instruments have been used in several clinical trials involving THA, FAI, and hip dysplasia . Investigators should take note of the previously reported high floor effects in THA populations .…”

Section: Patient‐reported Outcomes Measurement Information Systemmentioning

confidence: 99%

Measures of Hip Function and Symptoms

Weick

Bullard

Green

et al. 2020

Arthritis Care & Research

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Patient outcomes after total hip arthroplasty in extreme elderly patients older than 80 years

Cited by 11 publications

References 31 publications

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

Recreational activity after cementless total hip arthroplasty in patients older than 75 years

Comparison of the Effectiveness of Suprainguinal Fascia Iliaca Compartment Block and Patient-Controlled Analgesia for Major Hip Surgeries in Elderly Patients

Measures of Hip Function and Symptoms

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